| NPI | 1346261237 |
|---|---|
| Doing Business As | LAKE CITY PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | JOEL ERIC ROSENFELD Owner/Manager 386-758-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH21845) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH21845) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2009-07-16 |